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Trial registered on ANZCTR
Registration number
ACTRN12621000649819
Ethics application status
Approved
Date submitted
23/04/2021
Date registered
31/05/2021
Date last updated
2/05/2022
Date data sharing statement initially provided
31/05/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Brain structure, inner ear function and brain age in people who are long- term exercisers
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Scientific title
Brain structure, inner ear function and brain age in people who are long- term exercisers
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Secondary ID [1]
301428
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Aging
321553
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Dementia
321554
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Balance Disorder
321555
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Mild Cognitive Impairment
321556
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Condition category
Condition code
Neurological
319301
319301
0
0
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Studies of the normal brain and nervous system
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Physical Medicine / Rehabilitation
319302
319302
0
0
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Other physical medicine / rehabilitation
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Neurological
319303
319303
0
0
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Dementias
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This cross-sectional observational study will recruit 15 healthy older adults between the ages of 60-65 years who have been regularly practicing Tai chi (TC) for at least 5 years from TC classes in the community. Participants undergo a battery of tests over 2 X 2.5 hour visits within a 2 week period including Cognitive tests, MRI, Vestibular testing and Balance testing and spatial navigation testing.
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Intervention code [1]
320365
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Not applicable
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Comparator / control treatment
Fifteen participants who have never participated in TC or another long term exercise programme, will be recruited from the community and be matched for age, gender and years of education. They will undergo the same testing as the exercise group.
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Control group
Active
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Outcomes
Primary outcome [1]
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3T MAGNETOM SKYRA MRI- MRI assessing Brain Structure
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Assessment method [1]
327283
0
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Timepoint [1]
327283
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Single timepoint study
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Primary outcome [2]
327284
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Video head impulse testing- vestibular function
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Assessment method [2]
327284
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Timepoint [2]
327284
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Single timepoint study
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Primary outcome [3]
327285
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Cervical and ocular vestibular evoked myogenic potentials (VEMPS)- vestibular function
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Assessment method [3]
327285
0
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Timepoint [3]
327285
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Single timepoint study
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Secondary outcome [1]
394468
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Pure-tone audiometry- auditory function
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Assessment method [1]
394468
0
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Timepoint [1]
394468
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Single timepoint study
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Secondary outcome [2]
394469
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tympanometry- acoustic evaluation of the middle ear
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Assessment method [2]
394469
0
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Timepoint [2]
394469
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Single timepoint study
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Secondary outcome [3]
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Postural sway- Gait and Balance app
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Assessment method [3]
394470
0
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Timepoint [3]
394470
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Single timepoint study
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Secondary outcome [4]
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Clinical Test of Sensory Integration in Balance (CTSOB- M)
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Assessment method [4]
394471
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Timepoint [4]
394471
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Single timepoint study
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Secondary outcome [5]
394472
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Vanderberg Mental Rotation Task
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Assessment method [5]
394472
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Timepoint [5]
394472
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Single timepoint study
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Secondary outcome [6]
394473
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Design Memory, a sub-test of the Wechler Memory Scale- Fourth Edition (WMS-IV)
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Assessment method [6]
394473
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Timepoint [6]
394473
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Single timepoint study
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Secondary outcome [7]
394474
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The Four Mountains Test- spatial memory
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Assessment method [7]
394474
0
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Timepoint [7]
394474
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Single timepoint study
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Secondary outcome [8]
394475
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Triangle Completion Task- spatial navigation
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Assessment method [8]
394475
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Timepoint [8]
394475
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Single timepoint study
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Secondary outcome [9]
394476
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Physical activity questionnaire adapted from Section B of the Healthy New Zealand questionnaire
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Assessment method [9]
394476
0
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Timepoint [9]
394476
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Single timepoint study
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Eligibility
Key inclusion criteria
Over all inclusion criteria: Adult between the ages of 60-65 inclusive with a t-MoCA of 19 or more.
In addition:
Exercise group: Have participated in a community Tai Chi class once a week or more most weeks for the past 5 or more years.
Control group: Have not participated in a regular group exercise programme over the past 5 years.
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Minimum age
60
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Exclusion Criteria both groups:
MRI exclusions:
Cardiac pacemaker or defibrillator
Retained cardiac pacing wires
Surgical clips in the brain
Prosthetic heart valves (unless MR compatable)
Electronic inner ear implants
Metal fragments in your eyes
Electronic stimulators
Implanted pumps
Permanent eye liner
claustrophobia
Diagnosis of a neurological condition
Previous diagnosis of a vestibular condition (bar a single episode of BPPV)
Medically required to restrict head movements
Exclusion criteria specific to the control group
Have participated in an exercise group for more than 12 weeks in the previous year.
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
For univariate analyses concerning specific differences between outcomes in the different groups, generalised linear mixed models (GLMMs) will be used, because they can accommodate highly correlated repeated measures data and also non-normally distributed variables via link functions. The relationships between different variables will be explored using multiple linear regression as well as machine learning methods such as random forest regression.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/06/2022
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Actual
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Date of last participant enrolment
Anticipated
30/05/2023
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
23619
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New Zealand
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State/province [1]
23619
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Auckland
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Funding & Sponsors
Funding source category [1]
305865
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Charities/Societies/Foundations
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Name [1]
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Eisdell Moore Centre
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Address [1]
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c/o University of Auckland
Clinical research centre
85 Grafton Rd,
Auckland 1010
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Country [1]
305865
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New Zealand
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Primary sponsor type
University
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Name
Auckland University of Technology
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Address
90 Akoranga Drive
Northcote
Auckland 0627
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Country
New Zealand
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Secondary sponsor category [1]
306315
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None
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Name [1]
306315
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Address [1]
306315
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Country [1]
306315
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
306125
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Auckland University of Technology Ethics Committee
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Ethics committee address [1]
306125
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AUT 90 Akoranga Drive Northcote Auckland 0627
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Ethics committee country [1]
306125
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New Zealand
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Date submitted for ethics approval [1]
306125
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28/04/2021
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Approval date [1]
306125
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27/05/2021
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Ethics approval number [1]
306125
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21/123
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Summary
Brief summary
New Zealand, like other countries, has an ageing population. By 2034 it is expected that more than a fifth of the New Zealand population will be older than 65 years. Maintaining brain health into older age to minimise the effect of age-related declines in memory, cognitive and motor functions is a priority aim of New Zealand Healthy Ageing Strategy. It is known that exercise has positive benefits for brain health but there is little information available about effect of long-term participation in low-level balance related exercise. Tai Chi (TC) is a low-impact form of exercise that involves coordinated movements, challenges balance, has cognitive involvement and occurs as a 3-dimensional movement. For some practitioners it is a lifelong habitual practice and as such is a good model for investigating long-term engagement with balance related exercise. The vestibular system has an important role in balance and there is a growing awareness of its importance in cognition. There is some evidence in human studies that poor vestibular function is associated with reduced hippocampal volumes. A recent study that examined the association between age-related variation in vestibular function and brain structure in multiple brain areas that receive vestibular input and reported that the shape and volume of hippocampal and entorhinal cortical areas were strongly related to vestibular function. We are interested in exploring the relationship between brain structure measured by MRI, vestibular and balance function and habitual exercise. We will compare the MRI and vestibular function tests of people who are expert Tai Chi practitioners and age matched controls who have not participated in organised and regular exercise over the last 5 years.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Denise Taylor
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Address
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Auckland University of Technology
90 Akoranga Drive
Northcote
Auckland 0627
New Zealand
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Country
102798
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New Zealand
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Phone
102798
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+64 09 921 9680
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Fax
102798
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Email
102798
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[email protected]
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Contact person for public queries
Name
102799
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Denise Taylor
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Address
102799
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Auckland University of Technology
90 Akoranga Drive
Northcote
Auckland 0627
New Zealand
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Country
102799
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New Zealand
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Phone
102799
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+64 09 921 9680
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Fax
102799
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Email
102799
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[email protected]
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Contact person for scientific queries
Name
102800
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Denise Taylor
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Address
102800
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Auckland University of Technology
90 Akoranga Drive
Northcote
Auckland 0627
New Zealand
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Country
102800
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New Zealand
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Phone
102800
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+64 09 921 9680
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Fax
102800
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Email
102800
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
We have not made this an option on our ethics application.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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